Heart Transplantation in a Patient with Persistent Left Superior Vena Cava
نویسندگان
چکیده
A 56-year-old male presented with severe exertional dyspnea and pitting edema in the lower extremities. The pre-operative evaluation demonstrated biventricular dysfunction associated with severe tricuspid valve regurgitation and a persistent left superior vena cava. He was registered as a transplantation candidate, and orthotopic heart transplantation was performed using the standard bicaval technique. The left superior vena cava was connected to the right atrial appendage after the construction of a conduit using the recipient's autologous coronary sinus tissue. One-month postoperatively, computed tomography imagery demonstrated a patent conduit between the left superior vena cava and right atrial appendage.
منابع مشابه
[Cardiac transplantation in a patient with a persistent left superior vena cava and an absent right superior vena cava].
Persistent left superior vena cava is the most common congenital venous abnormality of the thorax and has a prevalence of 0.5% among the general population.1 Other related malformations include absent right superior vena cava and presence of a left azygos vein. In these situations, the right side of the head and the right arm drain mainly through the innominate vein in the left superior vena ca...
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